Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer


Gastric & Breast Cancer e-journal

DOI: 10.2122/gbc.2008.0090


EDITORIAL

High-volume surgeons improve esophagus cancer oncological outcomes

Theodore Liakakos M.D.

Affiliation: Department of Surgery, University of Athens , School of Medicine , Athens , Greece
Email: theodlia@otenet.gr

Since there is no abstract available, we provide the first paragraph  

Large-scale studies provide strong evidence that high-volume hospitals or high-volume surgeons improve short-term outcomes of patients undergoing high-risk surgical resection for solid cancers [1]. Although high-quality evidence for the role of surgical resection quality is lacking, there is some data supporting the view that surgeon's experience influences also long-term survival of patients with resectable gastrointestinal tumors including esophagus and gastric cancer [2, 3]. In a recent issue of the World Journal of Surgery Sundelöf et al [4] report on the impact of hospital or surgeon volume on both short-term and long-term outcomes of patients with esophageal and esophago-gastric junctional (EGJ) cancer. In an absence of randomized trials and limitations of this study [4], we would like to comment particularly on surgeon's volume on long-term outcomes of patients with gastro-esophageal cancer.

Online ISSN : 1109 - 7647
   Print ISSN : 1109 - 7655

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last update: 3 February 2004